Adult Social Care Systems - Access Request Form

You are currently completing section one of three

If you are a manager completing this form for a new employee, please enter their details and submit the form on their behalf.

Please note that this form should only be used by people who do not currently have access to Plymouth City Council Adult Social Care systems. This includes Eclipse and the Dashboards. It is possible to request access to archive systems that include CareFirst and the S-Drive but you must have a very good reason and rationale.

Do not submit multiple requests for the same person. If you have any questions about this form or process, please email asctpt@plymouth.gov.uk.
Details of the employee that requires access to an adult social care system
1. First name*
2. Surname*
3. Email address*
4. Job title*
5. Organisation*
6. Team*
7. Other team name
8. Work address
9. Job type (of the employee that requires access)*
  
  Worker
  
  Manager
10. Name of the employee's line manager
11. Email address of the employee's line manager
12. Employment status of the employee*
  
  Permanent worker
  
  Temporary worker
13. Employment start date
14. Employment end date
  An end date is mandatory for all temporary and student placements
Please answer all questions honestly and include as much information as possible.